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efta-efta00122410DOJ Data Set 9Other

U.S. DEPARTMENT OF JUSTICE

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Unknown
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DOJ Data Set 9
Reference
EFTA 00122410
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Summary

U.S. DEPARTMENT OF JUSTICE Employee Locator Information GOTRUL- 03/84 Tlb tag bb Smog .1 by d crnigno Lantos cryiersara bowl 37 adinaoaa any Nance cn go am gray& Caron Saabs parpartaLLON 1,1 7te His pnord cam h Pem6am101Cs graham d b Ran An d1974. Winbalon d Des blIANDATICRf. agar b recpatelm oVOUNTACW bob Bret tatly gal conerlityg Co ran. The liNCAT0544 a MOUNTIE?, reLLIV a go Ca 4 laces] a S ogra=a4PT4gY Ad Sent Cati Pn nalt ieknne' b t" grin tribt De n iuMis Felten/ °Sm.° anagulao gragt ea= sag& re.e elm anus d To On tort a you The cLastcro nynarecoratan d DO bon posuNagal pa/ ganTrIODO. EMPLOYEE IDENTIFICATION PRVACY ACT STATEMENT SOW/SECURITY NLRBER-I AUTI&IITY Ennevg Cntr 0I85 =rattgarter IQ. lati 2 PL1111elgr APD LIFE Tm soszneway pesolainsupxlas am*/ largavtx nacttegkatorroccrto to to h Nrurra tiro Nana Lau cl to Canavan coma coorgeon of =ab kit raiyeee re-J1 Cs lane in 1 EFFECTS OF NOP °Wang& Cbcbsro dad 891 b MANDATORY. Fain b dad= S N man& rett mSOh pa ar

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U.S. DEPARTMENT OF JUSTICE Employee Locator Information GOTRUL- 03/84 Tlb tag bb Smog .1 by d crnigno Lantos cryiersara bowl 37 adinaoaa any Nance cn go am gray& Caron Saabs parpartaLLON 1,1 7te His pnord cam h Pem6am101Cs graham d b Ran An d1974. Winbalon d Des blIANDATICRf. agar b recpatelm oVOUNTACW bob Bret tatly gal conerlityg Co ran. The liNCAT0544 a MOUNTIE?, reLLIV a go Ca 4 laces] a S ogra=a4PT4gY Ad Sent Cati Pn nalt ieknne' b t" grin tribt De n iuMis Felten/ °Sm.° anagulao gragt ea= sag& re.e elm anus d To On tort a you The cLastcro nynarecoratan d DO bon posuNagal pa/ ganTrIODO. EMPLOYEE IDENTIFICATION PRVACY ACT STATEMENT SOW/SECURITY NLRBER-I AUTI&IITY Ennevg Cntr 0I85 =rattgarter IQ. lati 2 PL1111elgr APD LIFE Tm soszneway pesolainsupxlas am*/ largavtx nacttegkatorroccrto to to h Nrurra tiro Nana Lau cl to Canavan coma coorgeon of =ab kit raiyeee re-J1 Cs lane in 1 EFFECTS OF NOP °Wang& Cbcbsro dad 891 b MANDATORY. Fain b dad= S N man& rett mSOh pa are: arra tow agosaal Fa& gg =zoo Co SSA Into Menge Ingnagg *0 caul nab &tarn MOO TO BE COMPLETED BY PERSONAE. OFFICE 4. NAME pat Past Matto =SI Li 2. CONTROL NUMBER a TYPE OF ACTral El 1 CrguA 0 2 Ckatin 5. SOCIAL SECURITY CURRENT RESIDENCE ADDRESS FOR TAX PURPOSES IL SUBMISSION DATE 1.0.26 . 1% PITA& ACT STATEMENT RES:DENTE ACCRESSI. AUTICRIM 5 USC Siam MALL 6617 at OEN 28 USG Scores 6401 ay 81 06 2Ptr.POSEAOL Maxi Cowman moat:wool Fara. Bit 4441 Loodlnibetomy &gra. a EFFECTS OF 14374.000.05L7LEL Clatotae awn_ Regarco Maw 4 MAMATCRY Fan fl an, Co ant RA NO= Aril al accessandl Lvateon ate gag attrZelaxl pato prgibas Pmelnea Virtiri 7. STREET ADDRESS (Na.. Note, St. Dr.. PL, eft.) 8. I.EQC.41D UNE STREET ADDRESS DS nacessary) JorerW reni anRy 9. CITY 10. COUNTY OR FOREIGN P•4tj 11. STATE ‘0 D /-- _co 12. ZIP COE CURRENT RESIDENCE ADDRESS AND TELEPHONE NUMBER PRVACT ACT STATEVENT:RESDENCE AC:CRESS AM TELERCRE WISER-1. AVIHORT4 6 USC baron r. 2 RRPOSE AND USE To or= ear= ancroance m cOn el ai aid gam *ship to 1rtfrarragrat gals Doporrera it Naos Access to as L-t,, mb6:&NOb Zo &pasta o.rpetscLO) OR I-C\O& 5Tatzod by the goenAgaIN a EFFECTS OF FICNITISCLOSLM &tarsi& &Ma nos b aCU-INIARY. a &Rata ra maniad, awning) Paraadracy bag egaR/ tams 87000o4 tor= fan a creetypsysa Can TELEpboDNE I13. AREA CODE 114. SEVEN DIGIT NUMBER 15. ECTIONLIONO cry) TO BE COMPLETED BY PERSONNEL OFFICE NUMBER 18. LOCATION CODE OF RESIDENCE I 17. MAY THE CURRENT RE I DENC E AND TELEPHONE KLAIBER BE USED TO CONTACT YOU ON MATTERS RELATING TO YOUR EMPLOYMENT WIPITHE DEPARTMENT OF VIS Ei 703 WASKNOTT:1N. DC METROPOLITAN AREA EMPLOYEES ONLY-COMMUTER CLUB (CAR POOL) INFORMATION 11111VACY ACT ST ATEltata: 1 ANIOCETY. Paob ro Can a±ny is ha tile al lee Korrnecn b crrce Dann dine cavlorte1111re Cornea a& Ito arrnle Sb rPamaa-- ccaraabytoMCcal=Wm*alnBeatdTtom aigaganlagama7 Lot:nal= Maloang b naiad m o vautamrf Nn by attar. 2 Ptoccee NO use To szfly errobAos tag us anon No LIN h Sea p=frTer b ben nor p& Nits. VOLUNTARY poen oar Conn& Cab somas h Cro aryggyas rem aro eats, region (440r0 MC, aittestorm &gm Ing GiXrattnoth•CitrO nein r-CcnICCU-231 arra Lag& Oral t L4 10. 11, 12 a37, a a 41.Q a c s ,,n1 431 tatle &Crib re Or:rut. Ctina=s1 &la pooaary erg& 11OO=444444O.2Nelmaga ambito nano, araorcr (agasy( end offal nigh& nate (Rim C).231 Ertagree Leta re A 3347. mg AT) 1 EFPECTSCF NW. WI: Dann= al ON V:13TrubibK1UNTARY Fritao b &wino wiz Tr& n &playa La away u cnyclard To Ono" OC cnlinclumro arclopl Werra& tam :a Mal 10. WASHINGTON, CC METROPOLITAN AREA EMPLOYEES CELT Of you our not In torostod In UN Com mu tor Club, skip thlo guar/Con). V N R K Yell -4 "an to gn o& Corrrs:17CL9 0 Rime rtry ram iniprraz/ Gereralon tom to Cc anti Ca 0 wpm:I:cal -I Cm 0 Orman CZ MCceat at want en tpeadCe;TallrtiCI:3en9 EMERGENCY LOCATOR INFORMATION MACY/Cr STATBert: EMERGE/Cy LOCATOR-1. &Mart 6 USC SoGTt 301 ad Mt 2. R.RFLOSE AND USE To gala carom Wore/ eta faTeltil ?nett tcratrgo 7Nya &an a I agaLES OF MINCISCUTCURE atzerbalon d OaC ob VOLLAITARY ad We. Oar to ern:Conch with at Hallam L2 0. NAME RP_IAT SHIP 20 NAME neefct Gc._a • iI Ji 2 PERSON TO BE rO311 FED IN EVENT OF EMERGENCY I-3 I PERSON TO BE NOTIFIED IN EVENT OF EMERGENCY 38. GROANLEATI ON NAME OFFICE ADDRESS (Completed bvAdmInIstmfivo Officor) 37. BUILDING NAME at an) 38. RGON NUsIZER 30. STREET ADDRESS 40. CITY 41. COUNTY OR FOREIGN COUNTRY 42 STATE 41 ZIP CODE L4 TELEPHONE NUMBER 48. AREA CODE FM DYES 0 NO a RON FA, =AREA COIN 47. SEVEN DIGIT NUMBER tXTLNSIONIcryj PERSON TO BE NOTIPID IN EVENT OF EMERGENCY 82. BUILDING CODE 16. ECIENSIONO coo CORM COJ.ma.M EFTA00122410

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